
01/04/2008
Results achieved in the first quarter of the second phase were considered very reasonable despite the repeated Israeli IDF incursions of some of our target areas especially eastern parts of khanyones and rafah governorates. At the beginning Dr.tibi and experience CMO,s and CM,s,gives concentrated in service training to new appointed CHW,s covering all 18 health messages for PW and mother of children below five years old During this quarter, the new CHW’s , CM and CMO had been advertised for, interviewed, appointed, and provided with the in service training that made them more capable of understanding the nature and the scope of their work. While the experience workers from the first round were playing a big role in starting the work since we have one of them in each team
The activities conducted in this quarter were appropriate to build up several coalitions in there communities specially kindergartens and respected community leaders, and made them more concerned and committed towards the objectives and concepts of MCHN project. Using the great experience of the work in the first round of the project
I would also like to thank the project managers, the CMOs, the clusters, the health workers, the secretary, the Administrative support officer, the driver, and the janitor for their efforts and dedication. Furthermore, I would like to express my appreciation to the trainers of the new staff for the great job they have done.
According to attendance records, Administrative employees (accountant- a secretary- a driver- admin logistic support) have work 75 days, the CMO`s, CM`s and CHW have starting work from the beginning of November 2007 for old and from 10 of November for new employees they started the work immediately because of limited time of this phase and have visited (3203 houses).
Performance of the Project team members:
The community health workers and other staff have conducted a good job during there community work. they start concentrate there work on building trust and collision with community leaders, kinder garden and limited NGO`s who are vetted to work with hundreds of homes were visited and registration for p. women, children below 5 in order to start follow up visits and educational sessions.
The community health workers and other staff have conducted a good job during seminars, health education sessions, home visits, individual counselling, demonstration, theatre, and special events parties.. e.g., week of new born with the family members, friends and mother in low and use these events in conducting health messages, changing bad habits, and enhancing exclusive breast feeding for six months.
Community health workers transmitted health messages through simple language and suitable ways to be fully understood by women using some practice and interactions that enable women to differentiate between good and bad practices. Sometimes they used songs, plays, dome and theatre.
They managed to convince women to participate positively and enhance their roll in the community and in taking good care of their kids.
Anew policy of meetings with groups of men was employed to facilitate the work of teams inside communities and convince them to facilitate their wives to share in outside home activities.
Problems-and challenges during First quarter:
- Time constrains due to the second phase of the project only five month
- Wide and large populated areas
- Problem of internal transportation.
- No contact policy of USAID which prevent dealing with large groups of facilities and CBO`s
- Israeli incursion of eastern parts of KH.yones and Rafah governorates which interrupted the field work of CHW`s and other project teams in that area for few day’s
- Shortest of fuel and electricity due to Israeli sanction
- High community expectations which go far beyond the current project's capacity.
- High psychosocial problems among community members and a lot of women asking help from project team.
- Financial difficulties do not encourage some of the targeted families to cope with CHWs advices despite the rising rate of malnutrition.
- Mistrust between some families and CHWs due to bad experience of other programs.
- Resistance of changing life style and cultural believes.
- Lack of health clinics in some targeted areas.
- Difficulty of holding medical days in areas because lack of vetted NGO in these areas and unsafe condition at those most risky areas.
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